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Re: VBAC From: art fougner, md (evsono@pipeline.com) Sat Oct 28 15:50:48 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Suzanne S. Powell: "Re: Monitoring" Previous message: RModugno@aol.com: "Cytotec-another viewpoint - long!" In reply to: Alana A. Millman: "VBAC" Next in thread: Ina May Gaskin: "Re: VBAC" Reply: Ina May Gaskin: "Re: VBAC" certainly not questioning your zeal nor your enthusiasm, but perhaps the fact that trial of labor is also termed trial of SCAR should give you pause, especially in the city devoted to the odds, Las Vegas. as others have pointed out, labor for a woman with a scarred uterus presents an increased risk for uterine rupture. this increased risk changes the definition to high risk. if this concept seems foreign to you, then we certainly will agree to disagree. art At Sat, 28 Oct 2000, Alana A. Millman wrote: > >Alana wrote: >> > I, myself, am a well informed low risk woman who had a home VBAC > >Deborah wrote: >>I have to respectfully say that I disagree. A VBAC is not low risk. > >Your respectful nature is appreciated and disagreement is fine, but I'm not >about to change my mind. Yet, anyway. > >So how should I respond to my OB/GYN who did my c/s (shared the "tour >inside" with my midwife and dh) and during my next pregnancy *encouraged* >me to have a homebirth? Or should I just stop seeing her because she is >just as "unsafe" as I am? > >Since I have begun my "hands on" work under supervision and I am just now >forming plans for my future independent practice (and may or may not choose >to practice differently than my preceptor), would you care to elaborate on >VBAC not being low risk? What risk factors are you evaluating? Uterine >rupture? How much do you think the time difference is between our ability >to get a woman to a hospital operatory (when we phone ahead) and our local >hospital ability to get a woman to an urgent c/s? > >I don't really want to argue. >If you feel you have some information that may cause me to change my views >please pass it along, but I don't want to play a numbers game. I find a >0.03% to 1% risk of uterine rupture to be a reasonable risk and I would not >accept a client who did not understand the risks. Who knows? Perhaps this >list will change what I think and make me "safer" according to your criteria. > >Alana -- art fougner, md A series of 1000 cases begins with but a single anecdote. Next message: Suzanne S. Powell: "Re: Monitoring" Previous message: RModugno@aol.com: "Cytotec-another viewpoint - long!" In reply to: Alana A. Millman: "VBAC" Next in thread: Ina May Gaskin: "Re: VBAC" Reply: Ina May Gaskin: "Re: VBAC"

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